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VIChospital2026-07-23

Finding into death of Vicki Karon Grigg

67y · Female·Pulmonary thrombo-embolism secondary to deep venous thrombosis, with contributin…

Vicki Grigg, 67, died from pulmonary embolism three days after discharge from Goulburn Valley Health. She had been admitted with influenza A exacerbating asthma and COPD, and received standard-dose anticoagulation prophy…

respiratory medicineemergency medicinemedicationcommunicationenoxaparin
NSWhospitalPodcast2026-02-26

Inquest into the death of Jeremy Webb

16y · Male·Anaphylaxis due to mammalian meat allergy after tick bite, causing an acute exac…

Jeremy Webb, 16, died from anaphylaxis due to mammalian meat allergy (tick-induced) which triggered status asthmaticus. He had experienced red meat reactions since age 10 and a severe respiratory event in April 2021 that…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline
VIChospital2023-07-24

Finding into death of Rona Jean Mccully

83y · Female·Acute on chronic renal failure secondary to infectious exacerbation of chronic o…

An 83-year-old woman with chronic obstructive pulmonary disease and chronic renal failure died from acute-on-chronic renal failure complicated by infectious exacerbation of COPD. She presented to hospital on 13 October 2…

general practicerespiratory medicinemolnupiravir
WAhospital2023-04-17

Inquest into the Death of Edward Ivan AFRICH

64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …

Edward Ivan Africh, a 64-year-old sentenced prisoner, died from bronchopneumonia and sepsis with chronic obstructive pulmonary disease (emphysema) in the setting of advanced chronic myelomonocytic leukaemia and heart fai…

respiratory medicinecardiologycommunicationsystemthiamine
VIChospital2022-10-18

Finding into death of Heather Jean Lucas

80y · Female·Anaphylaxis complicating chemotherapy for the treatment of metastatic fallopian …

Ms Heather Jean Lucas, 80-year-old woman with metastatic fallopian tube cancer, died from anaphylaxis during her third carboplatin chemotherapy infusion. She had experienced a documented Grade 2 hypersensitivity reaction…

oncologyemergency medicinemedicationcommunicationcarboplatin
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

Helen Welsh, 63, died from E. coli septicaemia with multiple comorbidities. She presented with respiratory symptoms and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hy…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…

intensive carerespiratory medicinemedicationmeropenem
SAhospital2019-05-14

Coroner's Finding: CREEPER Lindy Jayne

54y · Female·malignant melanoma with brain metastases

A 54-year-old woman with metastatic melanoma died from brain metastases while detained under a Mental Health Act order at the Royal Adelaide Hospital. She had undergone surgery and radiotherapy for melanoma that had spre…

oncologypsychiatrysteroids
SAhospital2019-04-15

Coroner's Finding: CURTIN Roger

63y · Male·metastatic non-small cell lung carcinoma with chronic obstructive lung disease

Mr Curtin, a 63-year-old with metastatic non-small cell lung carcinoma and severe COPD, was admitted to Repatriation General Hospital on 14 August 2015 with dyspnea and confusion. His condition deteriorated with delirium…

palliative carepsychiatryolanzapine
QLDhospital2018-01-23

Collins, Francis Ronald Llewelyn

85y · Male·respiratory failure due to chronic obstructive pulmonary disease

An 85-year-old man with COPD, diabetes, and peripheral vascular disease died from type 1 respiratory failure due to mucous plugging of airways. He presented with a foot ulcer and acute respiratory exacerbation, was admit…

general medicinerespiratory medicinesalbutamol
VIChospital2017-08-28

Finding into death of Linda Christine Stanton

66y · Female·Complications of pulmonary fibrosis and bronchiectasis in a woman with cerebral …

Linda Stanton, a 66-year-old woman with cerebral palsy, pulmonary fibrosis, and bronchiectasis, died from complications of her lung disease. She had required six hospital presentations between December 2015 and August 20…

general medicinerespiratory medicinesalbutamol
VIC2017-06-23

Finding into death of Noel Faure

62y · Male·Complications of Hepatocellular Carcinoma

A 62-year-old man with hepatitis C-related cirrhosis died from complications of hepatocellular carcinoma while in prison custody. He was identified with a 4cm liver mass in April 2016 and confirmed to have an 8cm hepatoc…

hepatologyoncologyoxycodone/naloxone
WA2016-10-07

Inquest into the Death of Gerardus Gerritt HEIJNE

49y · Male·Ligature compression of the neck (hanging)

A 49-year-old sentenced prisoner died by suicide via ligature compression of the neck at Acacia Prison in Western Australia. The deceased had a psychological profile characterised by denial and minimisation of adverse ex…

psychiatrygeneral practicedelaycitalopram
SAhospital2015-08-27

Coroner's Finding: O'LEARY Judith Beverley

75y · Female·exacerbation of end-stage chronic obstructive pulmonary disease

Judith Beverley O'Leary, 75-year-old woman with end-stage COPD, dementia, depression and multiple comorbidities, died from exacerbation of COPD with secondary respiratory tract infection. She was placed under guardianshi…

respiratory medicineemergency medicinequetiapine
WAhospital2014-07-22

Inquest into the Death of Adrian Bernard Williams

60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…

Adrian Bernard Williams, a 60-year-old man with advanced metastatic cancer, chronic obstructive airways disease, and ischaemic heart disease, died from pneumonia while in prison custody. He was appropriately classified a…

palliative carerespiratory medicinechemotherapy
WAhospital2011-05-12

Inquest into the Death of Walden

68y · Female·Multi-organ failure associated with septic shock following duodenal perforation …

Athenia Hana Walden, 68, died from multi-organ failure and septic shock following duodenal perforation during laparoscopic surgery at Swan District Hospital on 8 May 2008. Surgery was performed to remove her gallbladder,…

general surgerygeneral practicediagnosticcommunicationpethidine
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
SAhospital2001-05-16

Coroner's Finding: ROBERTS Brian Murray

76y · Male·respiratory failure secondary to right pneumonectomy and chronic obstructive air…

A 76-year-old man with a history of right pneumonectomy 25 years prior, chronic obstructive airways disease, and recent-onset dementia was detained under the Mental Health Act at Glenside Hospital. On 21 May 2000, he col…

psychiatryrespiratory medicineantibiotics
SAhospital2001-05-16

Coroner's Finding: HAMPTON Ronald Allen

77y · Male·respiratory failure caused by severe pneumonia

Ronald Allen Hampton, aged 77, died from respiratory failure due to severe pneumonia while detained under the Mental Health Act at Glenside Hospital. He had been admitted with behavioural disturbances related to dementia…

psychiatrygeneral medicineantibiotics

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